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JESSE A. TANNENBAUM MD
NPI 1275683070
Pediatrics - Pediatric Cardiology in Santa Clara, CA

Active since January 12, 2007
710 LAWRENCE EXPY, SANTA CLARA, CA 95051(408) 851-1000 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jesse A. Tannenbaum Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSE A. TANNENBAUM MD (NPI 1275683070) is an individual pediatric cardiology provider in Santa Clara, California, licensed in California (G63018) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1275683070
Entity TypeIndividualMale
Primary Taxonomy2080P0202X
Provider Legal NameJESSE A. TANNENBAUMCredential: MD
Location Address710 LAWRENCE EXPYSanta Clara, CA 95051-5173
Mailing Address1800 Harrison St Fl 7Oakland, CA 94612-3429 · (510) 625-6262
Phone(408) 851-1000
Sole ProprietorNo
Enumeration DateJanuary 12, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1275683070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
License✔ Licensed in CA · G63018
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
710 LAWRENCE EXPY, Santa Clara, CA 95051
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Other Identifiers 3

Medicaid00G630180CA
Medicare UPINB85304
Medicare ID-Type Unspecified00G630180

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. SHARLENE JUNIO MADANES N.P.
Nurse Practitioner (Family)
710 LAWRENCE EXPY
SANTA CLARA, CA 95051
Santa Clara County (408) 851-3829
ELLEN CHINCHILLI MD
Student in an Organized Health Care Education/Training Program
710 LAWRENCE EXPY
SANTA CLARA, CA 95051
Santa Clara County (408) 851-3817
SWARNA L KONERU RD
Dietitian, Registered
710 LAWRENCE EXPY
SANTA CLARA, CA 95051
Santa Clara County (408) 851-1000
MRS. BRIDGET M. BOUYSSOUNOUSE P.T.
Physical Therapist
710 LAWRENCE EXPY, DEPT. #174
SANTA CLARA, CA 95051
Santa Clara County (408) 851-1466
FLAIR D. GOLDMAN DPM
Podiatrist
710 LAWRENCE EXPY
SANTA CLARA, CA 95051
Santa Clara County (408) 236-6400
MR. KRISNA P CHAI M.D.
Internal Medicine (Gastroenterology)
710 LAWRENCE EXPY
SANTA CLARA, CA 95051
Santa Clara County (408) 851-1000
KARISSA TAAN MPT
Physical Therapist
710 LAWRENCE EXPY
SANTA CLARA, CA 95051
Santa Clara County (408) 851-1492
ANDREA B. HUTCHINSON MD
Obstetrics & Gynecology
710 LAWRENCE EXPY
SANTA CLARA, CA 95051
Santa Clara County (408) 851-1000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jesse Tannenbaum's NPI number?

The NPI number for Jesse Tannenbaum is 1275683070. It was assigned to this individual provider in the NPPES registry on January 12, 2007.

Where is Jesse Tannenbaum located?

Jesse Tannenbaum practices at 710 Lawrence Expy, Santa Clara, CA 95051. The listed phone number is (408) 851-1000.

What is Jesse Tannenbaum's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

When was this NPI record last updated?

The NPPES record for Jesse Tannenbaum was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.